Individual
MS. BRANDI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
33060 NORTHWESTERN HWY, SUITE 200, WEST BLOOMFIELD, MI 48322-3693
(810) 580-8434
Mailing address
6531 MARSH RD, COTTRELLVILLE, MI 48039-2105
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018003
MI
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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